| NPI | 1093204836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 2081) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MN 10070) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-10-11 |